Computer-assisted robotic Heller myotomy: Initial case report

W. Scott Melvin, B. J. Needleman, K. R. Krause, R. K. Wolf, Robert E. Michler, E. C. Ellison

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Purpose: Our objective was to determine the efficacy of computer-assisted robotic laparoscopic Heller myotomy. Methods: A 76-year-old woman with a significant history of achalasia was evaluated for laparoscopic Heller myotomy. The da Vinci™ surgical system was used throughout the procedure. Results: Computer assistance allowed scaling of hand motions from a range of 2:1 to 5:1. Successful dissection of the esophageal musculature was accomplished, and a Toupet-type fundoplication was performed. The patient was discharged from the hospital the day after surgery with five port incisions, each <1 cm. Conclusions: Telemanipulator computer-assisted surgical devices may have applications in procedures that require advanced and finely tuned motions, such as Heller myotomy. The benefits of extra magnification and three-dimensional imaging can help prevent esophageal perforation and identify residual circular muscle fibers.

Original languageEnglish (US)
Pages (from-to)251-253
Number of pages3
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume11
Issue number4
StatePublished - 2001

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Robotics
Esophageal Perforation
Fundoplication
Esophageal Achalasia
Three-Dimensional Imaging
Articular Range of Motion
Ambulatory Surgical Procedures
Dissection
Hand
Equipment and Supplies
Muscles

ASJC Scopus subject areas

  • Surgery

Cite this

Computer-assisted robotic Heller myotomy : Initial case report. / Melvin, W. Scott; Needleman, B. J.; Krause, K. R.; Wolf, R. K.; Michler, Robert E.; Ellison, E. C.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A, Vol. 11, No. 4, 2001, p. 251-253.

Research output: Contribution to journalArticle

Melvin, W. Scott ; Needleman, B. J. ; Krause, K. R. ; Wolf, R. K. ; Michler, Robert E. ; Ellison, E. C. / Computer-assisted robotic Heller myotomy : Initial case report. In: Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A. 2001 ; Vol. 11, No. 4. pp. 251-253.
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